Randomized controlled trial of the “WISER” intervention to reduce healthcare worker burnout

作者：Jochen Profit, K. Adair, Xin Cui, Briana Mitchell, Debra Brandon, Daniel S. Tawfik, Joseph Rigdon, Jeff Gould, Henry C. Lee, Wendy L. Timpson, Martin J. McCaffrey, Alexis S. Davis, M. Pammi, M. Matthews, A. Stark, Lu-Ann Papile, Eric Thomas, M. Cotten, Amir Khan, J. Sexton · 发表于：Journal of Perinatology · 年份：2021 · DOI：10.1038/s41372-021-01100-y · 被引用次数：57 · 研究领域：Medicine

Test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout. RCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control. Cohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (−5.27 (95% CI: −10.44, −0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (−6.3% (95%CI: −11.6%, −1.0%); p = 0.008), and secondary outcomes depression (−5.2% (95%CI: −10.8, −0.4); p = 0.022) and work-life integration (−11.8% (95%CI: −17.9, −6.1); p < 0.001). Improvements endured at 6 months. WISER appears to durably improve HCW well-being. NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133